Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

KARA H MONGER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1134841091
CMS profile
11414795
Location
HARRISONBURG, VA

General Payments · PY2022–2025

$936.34

  • Reported across 27 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$481.57

16 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $323.57 14
Education $158.00 2

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Astellas Pharma US Inc $257.55 6
Organon LLC $60.69 2
Biogen, Inc. $59.93 3
PFIZER INC. $39.48 2
Merck Sharp & Dohme Corporation $27.26 1
Exact Sciences Corporation $19.62 1
Lilly USA, LLC $17.04 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $185.67 4
PY2023 $269.10 7
PY2025 $481.57 16

Payment records · PY2025 (16)

Sorted by paying entity, then date · as published by CMS

Program year 2025 20222023 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Astellas Pharma US Inc $29.80 08/13/2025 Food and Beverage Undisputed 06/30/2026 1238658138 CMS
Astellas Pharma US Inc $22.65 09/16/2025 Food and Beverage Undisputed 06/30/2026 1238690978 CMS
Astellas Pharma US Inc $18.96 10/30/2025 Food and Beverage Undisputed 06/30/2026 1238576033 CMS
Astellas Pharma US Inc $90.05 10/30/2025 Education Undisputed 06/30/2026 1238586096 CMS
Astellas Pharma US Inc $67.95 10/30/2025 Education Undisputed 06/30/2026 1238586288 CMS
Astellas Pharma US Inc $28.14 12/04/2025 Food and Beverage Undisputed 06/30/2026 1238588304 CMS
Biogen, Inc. $16.97 08/19/2025 Food and Beverage Undisputed 06/30/2026 1208377147 CMS
Biogen, Inc. $21.94 09/23/2025 Food and Beverage Undisputed 06/30/2026 1208380604 CMS
Biogen, Inc. $21.02 10/29/2025 Food and Beverage Undisputed 06/30/2026 1208326481 CMS
Exact Sciences Corporation $19.62 08/29/2025 Food and Beverage Undisputed 06/30/2026 1235267143 CMS
Lilly USA, LLC $17.04 10/28/2025 Food and Beverage Undisputed 06/30/2026 1187134061 CMS
Merck Sharp & Dohme LLC $27.26 12/03/2025 Food and Beverage Undisputed 06/30/2026 1238128603 CMS
Organon LLC $29.72 09/30/2025 Food and Beverage Undisputed 06/30/2026 1237659904 CMS
Organon LLC $30.97 11/14/2025 Food and Beverage Undisputed 06/30/2026 1237659906 CMS
PFIZER INC. $13.96 09/22/2025 Food and Beverage Undisputed 06/30/2026 1230574419 CMS
PFIZER INC. $25.52 11/11/2025 Food and Beverage Undisputed 06/30/2026 1231031521 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2022, 2023, 2025
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.